| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $683.03 | $683.03 | $751.33 | |
Cigna
| Facility | $380.00 | $380.00 | $380.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $1,040.80 | $1,040.80 | $1,040.80 |
Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnostic imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $683.03 | $683.03 | $751.33 | |
Cigna
| Facility | $380.00 | $380.00 | $380.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $1,040.80 | $1,040.80 | $1,040.80 |